Periodontology Flashcards

1
Q

what does stage 1 mean

A

early/mild
<2mm attachment from CEJ, <15%

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2
Q

what does stage 2 mean

A

moderate
coronal third of root

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3
Q

what does stage 3 mean

A

severe
mid third of root

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4
Q

what does stage 4 mean

A

very severe
apical third of root

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5
Q

what does grade A mean

A

<0.5

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6
Q

what does grade B mean

A

0.5-1

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7
Q

what does grade C mean

A

> 1.0

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8
Q

what makes someones periodontal disease stable

A

BoP <10%
PPD < or equal to 3mm
no BoP at 4mm sites

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9
Q

what makes someones periodontal disease in remission

A

BoP > or equal to 10%
PPD < or equal to 4mm
no BoP at 4mm sites

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10
Q

what makes someones periodontal disease unstable

A

PPD > or equal to 5mm
PPD > or equal to 4mm and BoP

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11
Q

what are the risk factors for periodontal disease

A

smoking, diabetes, immunodeficiency, pregnancy, medications, genetics, stress and diet

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12
Q

what are the risk factors for necrotising periodontal disease

A

smoking, immunodeficient (HIV), stressed and poor oral hygiene

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13
Q

what bacteria is necrotising periodontal disease caused by

A

spirochaetal and fusiform

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14
Q

what is the appearance of necrotising periodontal disease

A

grey pseudomembranous slough covering a painful, ulcerated gingival margin. The papillae have a punched-out appearance and there can be a loss of crestal bone. pts can experience bad breath and a metallic taste

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15
Q

what are the types of necrotising periodontal disease

A

necrotising gingivitis, necrotising periodontitis, necrotising stomatitis

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16
Q

what antibiotics would you prescribe for necrotising periodontal disease

A

metronidazole, if allergic then amoxicillin or clindamycin

17
Q

what symptoms/signs may the patient present if they have a periodontal abscess

A

clinical periodontitis, loss of alveolar crest radiographically, tooth may be mobile and tender to precussion in lateral directions

18
Q

what antibiotics would you prescribe for periodontal abscess

A

metronidazole 400mg TDS for 5 days or amoxicillin 500mg TDS for 5 days